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<br />APR-29-2002 10:03 <br /> <br />Marsh Advantage America <br /> <br />9528263840 P.04/05 <br /> <br />EXHIBIT A <br />CoallrmanoD orPEIP Coverages <br />City of Ceaterville <br /> <br />Your llfoun CUtTefltlv has the followlof benefits <br /> <br />o <br /> <br />Medical Coverage <br />Life Coverage <br /> <br />Managed Care Plan <br />$10,000 BllSlc Life <br /> <br />o <br /> <br />o <br /> <br />Deotal Coverage <br /> <br />Comprehwive Plan <br /> <br />Retiree rating: structure <br /> <br />o In accordance with Chapter 488, renewal rates for retirees who are under age 65 life blended with' <br />the rates fur active employees. Eligible rellreeli cunently on COBRA have been included in the <br />retiree rate structure. <br /> <br />o flor retireeli over age 65, individual Medicare supplement polieillS are available. Pl_ call <br />Seabury &, Smiili at 1.800-82~.560 I or contlll:t yO\lf plB1l administratOr for more details. <br /> <br />Qotional covens:es available for next renewal period <br /> <br />o <br /> <br />Pependent Life: <br /> <br />Can be made avllilAble to all employCBi or locked wid1 <br />madical subJecllO evldlnce cf insurability. <br /> <br />Individuals in your group can (llITchue s~lemenlal <br />lIfeIAD&D coverage In $5,000 increments up to a maximum <br />of5300,ooo; SIlbjec:tto evidence oflnsurabUlly. <br /> <br />Dependenlllfe in&Ul'lUlClI with $5,000 spouse coverage and <br />$2,500 child coverage is also available to Individuals In yeur <br />aroup. Evidence of lDsW'llbility is.required. <br /> <br />Buic Life: <br /> <br />Supplemental Life! AD&D: <br /> <br />o <br /> <br />Preventive Dental: <br /> <br />Coverage fur rautioe '*'tal exam., leeth cleaning, fluoride <br />treatmeat llIld x-rays. <br /> <br />o <br /> <br />Comprehensive Dental: <br /> <br />Provides coveraae {or preventive, basic (flUiD,..- extractions) <br />and major (inlays. crowns. bridgework) treatments. <br /> <br />1- <br />